MEDICARE: CH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1982800322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CH SERVICES, INC.

Provider Business Mailing Address
First Line	:	1401 STATE ST
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150
Country	:	US
Telephone Number	:	812-948-9770
Fax Number	:	812-948-9789

Provider Business Practice Location Address
First Line	:	1401 STATE ST
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150
Country	:	US
Telephone Number	:	812-948-9770
Fax Number	:	812-948-9789

Authorized Official
Title or Position	:	PRESIDENT
Name	:	COLETTE HOFELICH
Credential	:	RN
Telephone Number	:	812-948-9770

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	06/07/2019

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